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December 22, 1899 2296 

Monthly report from San Juan and subports. 

San Juan, Porto Eico, December 7, 1899. 

Sie : I have the honor to submit the following consolidated report of 

the transactions of the Service at this port for the month of November, 

1899: 

Number of births 68 

Number of births, November, 1898 (comparative) 52 

Number of deaths 90 

Number of deaths, November, 1898 (comparative) 84 

A list of the causes of deaths is inclosed herewith : 

Number of vessels inspected 48 

Number of vessels inspected, November, 1898 (comparative) 33 

Number of vessels in quarantine, 2. The first was the Spanish 
steamer Monserrat which arrived from Havana on November 3. She 
transacted business in quarantine, and the nonimmune local passengers 
were held in detention to complete the period of observation. 

The other vessel was the Spanish steamer Buenos Aires which arrived 
from Spain on November 11 with 1 case of smallpox on board and 
76 passengers for this port. A thorough examination of all passengers 
revealed the fact that all except 4 had recent successful vaccinations, 
and after disinfection of their effects, they were released. The non- 
immunes were vaccinated and kept under observation at the detention 
station. 

The patient died while arrangements were being made to transfer him 
from the vessel to the lazaretto. He was ordered buried at sea. 

The weather still continues warm, the average temperature for the 
month being 79°. Rainfalls are very frequent, the total for the month 
being 11.81 inches. 

During the month, 105 vaccination certificates were issued and viseed 
and 180 pieces of baggage were disinfected. 

The reports from the small ports are as follows : Vessels inspected, 
Mayaguez, 13; Arecibo, 6; Humacao, 6; Agnadilla, 4, and Arroyo, 4. 

On November 9, the English schooner Nellie arrived at Humacao from 
Trinidad and was held in quarantine by the sanitary inspector on 
account of the reported plague at Trinidad. He immediately tele- 
graphed me of his action and requested instructions from this office. 
As the crew were all healthy, the vessel had a clean bill of health, and 
as the report of plague at Trinidad was not verified, he was directed to 
release the vessel. 

The French steamer Fournel from Colon arrived at Mayaguez on 
November 23 and was held in quarantine to complete the period of 
observation on account of the presence of yellow fever at Colon. 

On request of the French consul, she was given permission to leave 
quarantine and proceed to sea, without touching at any port of Porto 
Eico. This was not done, however, as the agents at St. Thomas 
instructed her to stay out the quarantine at Mayaguez and then take 
on some cargo at that port. The instructions in regard to this quaran- 
tine were issued from this office. 

The Norwegian steamer Gyller arrived at Mayaguez from Santiago, 
Cuba, on November 27. She was detained in quarantine by the sanitary 
inspector, who wired this office for instruction. He was directed to 
allow her to transact her business in quarantine by means of lighters, 
which was done. 



2297 December 22, 1899 

The number of deaths at the subports during the month are as fol- 
lows : Mayaguez, 145 ; Arecibo, 152 ; Humacao, 50 ; Aguadilla, 58, and 
Arroyo, 21. 

Eespectfully, A. H. Glennan, 

Surgeon, U. S. M. H. S., In Command. 

[Inclosure.] 
Vital statistics of San Juan, Porto Rico, for November, 1899. 

Cerebral congestion 2 

Asphyxia 2 

Stillborn 2 

Anaemia 5 

Eclampsia 2 

Cardiac lesions 10 

Bronchitis 4 

Cirrhosis of the liver 4 

Intestinal colic 1 

Diphtheria 2 

Enteritis 9 

Cerebral sclerosis 1 

Aortic stenosis 1 

Entero-colitis '. 6 

Typhoid fever 2 

Malnutrition 1 

Hemorrhage (of the brain) .• 1 

Myelitis 2 

Nephritis 1 

Peritonitis 3 

Malaria 5 

Eachitis 7 

Septicaemia 1 

Pulmonary tuberculosis 11 

Tetanus infantum 2 

Cancer of uterus 1 

Diffuse abscess of the scalp 1 

Cardiac atheromatous degeneration 1 

Total 90 

November, 1S99 — 

Births 68 

Deaths 90 

November, 1898 (comparative) — 

Births , 52 

Deaths 84 

Steamship Buenos Aires treated at Miraflores quarantine station. 

San Juan, Porto Eico, December 8, 1899. 

Sir : I have the honor to report the arrival of the Spanish steamship 
Buenos Aires from Vera Cruz and Havana on the 4th instant. This 
vessel transacted her business in quarantine and departed the same day 
for Spain. 

The nonimmune passengers and a few pieces of baggage labeled "to 
be disinfected " were removed to the San Juan Quarantine Detention 
Station at Miraflores Island. The passengers received shower baths, 
and were held to complete the period of observation. 

The baggage was disinfected by steam and formaldehyd ; the steam 
chamber Jbeing a single- wall affair purchased a few years ago and com- 
paratively new requires considerable care in its use, otherwise the 
clothing will come out wet and in a damaged condition.